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Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 2004) Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS /SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913 -6050 995737714
As provided by section 6321, 6322, and 6323 of the Internal Revenue A/ .SSG 7
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following -named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, s-
there is a lien in favor of the United States on all property and rights to M
= M —0 �
property belonging to this taxpayer for the amount of these taxes, and x:;Q :50 -a
additional penalties, interest, and costs that may accrue. �'
Cott o�
Name of Taxpayer DONNA K ROSARIO r C '
BEAUTY AND THE BEACH �°" CD
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C t-' C) r'T'
Residence 139 N ORANGE ST
CARLISLE, PA 17013 -�
IMPORTANT RELEASE INFORMATION For each assessment listed below, _ _
unless notice of the lien is refiled by the date given in column (e); this notice shall, �j.,s , ti j
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a). )�W 30V5
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) M
940 12/31/2007 25- 1822989 12/17/2012 01/16/2023 1516.20
940 12/31/2008 25- 1822989 12/17/2012 01/16/2023 721.33
941 03/31/2008 25- 1822989 12/17/2012 01/16/2023 628.80
941 06/30/2008 25- 1822989 12/17/2012 01/16/2023 621.21
941 09/30/2008 25- 1822989 12/17/2012 01/16/2023 614.14
941 12/31/2008 25- 1822989 12/17/2012 01/16/2023 606.75
Place of Filing
Prothonotary
Cumberland County Total $ 4708.43
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 18th day of April 2014
Signature Title
REVENUE OFFICER 22 -06 -1413
for LINDSEY O BOWLIN (717) 777 -9623
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71 -466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2 -2004)
Part 1 -Kept By Recording Office CAT. NO 60025X